Thesis Statement For Childhood Obesity | ipl.org . Half of the incidents were associated with use errors relating to wrong data entry. Errors and delays in decision-making were similarly identified. Singh Marella Gong Dykstra . JA Del Beccaro The information value chain, when used in conjunction with existing classifications for health IT safety problems, can enhance measurement and should facilitate identification of the most significant risks to patient safety. Y Only 2 studies provided details of patient deaths (Table 3). Furthermore, incident reports are potentially biased to events that appear important to the reporter.49 We assessed each study using the Cochrane Collaborations tool for assessing risk of bias. It was restricted to studies of IT systems for clinicians that were published in the biomedical literature. 2. Other commonly reported IT problems were related to interfaces with other software (29%, n=10), hardware malfunction (29%, n=10), and network issues (24%, n=8). DF A In 76% of studies, poor user interfaces and fragmented displays (eg, preventing a coherent view of all of a patient's medications) were associated with errors in selecting and entering information. Introduction The rate of childhood obesity has increased over few years. JS The chain assists in identifying which process is impacted by an IT problem, but also shows the many stages through which information errors can then propagate. Rasinski DF Materials and methods: We searched bibliographic databases including Scopus, PubMed, and Science Citation Index Expanded from January 2004 to December 2015 for studies reporting problems with IT and their effects. It states what the paper is about and gives the reader a sense of direction like a road map. L Hospitalwide implementation of CPOE was halted due to unintended consequences. K . Kuperman Rigby Only English-language studies were included. SL For example, errors and delays in decision-making can occur when software is not available12,13,15 or not accessible12,13,17,22,24,27,28,33,34,37,42,46 due to power failure12,25,32,33 or computer viruses,12,15,25,32 but these were not explicitly noted. BD . Belmont Doing this can also help you identify any gaps in the data you have gathered. Finally, observable impact on care process and outcomes was examined using a standard approach and categorized as1316: Potential or actual harm to a patient. . Schiff Espadas Of the 34 studies we reviewed, only 44% (n=15) reported effects at all stages of the chain. McCluskey MA PDF Causes of students' stress, its effects on their academic - Theseus Such problems led to frustration for clinicians, wasted peoples time, and sometimes led to workarounds. Poon No new categories were required to code the IT problems, information errors, and contributing factors identified in this review, further validating the classification. . Seventy-nine papers were selected for full review (, Improving safety with information technology, Health IT and Patient Safety: Building Safer Systems for Better Care, The role of the electronic health record in patient safety events, ECRI Institute PSO DEEP DIVE: Health Information Technology, Spotlight on electronic health record errors: papers or electronic hybrid workflows, Health Information Technology Adverse Event Reporting: Analysis of Two Databases, Investigations of health ITrelated deaths, serious injuries, or unsafe conditions, Effects of health information technology on patient outcomes: a systematic review, Classification of antecedents towards safety use of health information technology: a systematic review, Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011, An analysis of computer-related patient safety incidents to inform the development of a classification, Using FDA reports to inform a classification for health information technology safety problems, Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports, Towards an international classification for patient safety: key concepts and terms, Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication errorreporting database, Medication errors resulting from computer entry by nonprescribers, Technology-related medication errors in a tertiary hospital: a 5-year analysis of reported medication incidents, Classification of medication incidents associated with information technology, Computerised physician order entryrelated medication errors: analysis of reported errors and vulnerability testing of current systems, Review of reported clinical information system adverse events in US Food and Drug Administration Databases. The conferees managed to hit their budget targets and delivered a Conference Report that reduces the general fund deficit by $114 million in the current biennium and by $155 million in the next biennium. Reckmann Of these, 7 were serious and 13 had little potential for harm. For example, clinicians frustrated by multiple irrelevant alerts were reported to disregard all alerts.26,36 Machine errors in displaying alerts and overalerting were reported in 7 studies, and 6 studies reported use errors involving wrongly overridden alerts. Errors were also attributed to hybrid record systems. Thirty-two individuals who were directly responsible for supporting and maintaining IT systems in 78 hospitals were surveyed to evaluate causes and frequency of medication errors due to downtime over a 12-month period. Reichert . E Castro Technical problems were related to poor design of user interfaces, which led to medication errors in community pharmacies. Brenner Cardiovascular disease. Richardson A radiologist subsequently viewed the image for peripherally inserted central catheter (PICC line) placement. Study focused on medication errors in hybrid record systems where paper records were used in combination with CPOE to process medication orders. Chronic stress may also cause disease . . State Issues - Arizona Hospital and Healthcare Association Most of the evidence of patient harm comes from incident reports, with the exception of 1 comparative study where CPOE implementation was associated with an increased risk of mortality in a children's hospital.42 However, this finding was not replicated when the same system was implemented at different sites, and the disparity in outcomes was likely the result of differences in local implementation processes.52 More generally, only 2 other studies identified in this review were comparative, detecting an increase in duplicate medication orders30 and new systemrelated prescribing errors following CPOE implementation.41,51 While the types of IT problems have been well documented in the literature, further observational studies are required to measure their frequency and the magnitude of their impact on care delivery and patient outcomes. They may show poor results and isolate themselves from colleagues and friends. . System configuration issues were also linked to software updates, eg, decision support errors following updates to a drug database.26, Sociotechnical contextual variables that contributed to information errors were identified in 71% of studies (n=24). In all, 11% of incidents were associated with patient harm, and 4 deaths were linked to health IT problems: (1) Entry of a portable X-ray image into a PACS system under the wrong name resulted in a wrong diagnosis and subsequent intubation, which may have contributed to death. CA We did not include a range of other sources of information about IT problems in health care, such as medical record review, routine data collection, medicolegal investigations, complaints, etc.49 It is thus possible that the IT problem types and effects are not exhaustive. . MK is responsible for the integrity of the work; she is the guarantor. This may be inherent to the nature of incident reports, which made up the bulk of the studies reviewed. quire a nd bring to light measures to counteract the effects of existing stress in stu-dents . Reading time: 3 min (864 words) The COVID-19 pandemic has led to a dramatic loss of human life worldwide and presents an unprecedented challenge to public health, food systems and the world of work. The rate of childhood obesity has increased over few years. Eguale Companies are beginning to take note of this impact and implementing policies and programs to facilitate healthy living styles for their employees. BJ aErrors analyzed for outcome were different from total errors reported. Software functionality requiring new tasks from users also contributed to errors, eg, ordering a reminder or changing a default date. R Avery Technical problems were related to software functionality such as screen display and data aggregation, configuration issues, and downtime. System-related medication errors were frequent and the majority of errors manifested as timing errors. This figure may be underreported, given that software access problems were reported in many of the reviewed studies. In a practical sense, each Health Thesis Statement sample presented here may be a guide that walks you through the essential phases of the writing process and showcases how to pen an academic work that hits the mark. This research is supported by Australian National Health and Medical Research Council Centre for Research Excellence in e-Health grant 1032664. . (3) An HIV test ordered during a hospital stay was not followed up after discharge. V AD Study designs and issues with data quality did not allow quantitative analysis of outcomes. P A problem that affected care delivery but involved no harm to a patient, such as delays and rework, eg, a computer network problem resulted in delays or additional phone calls to follow up missing test results. 3 Abstract Living a healthy lifestyle can affect your personal relationships, mental state, and overall wellbeing. In 2 studies analyzing safety events reported to the US Food and Drug Administration and from across Englands National Health Service (NHS), human factors issues were proportionally higher in the events involving patient harm.12,14 The potential of IT problems to lead to large-scale adverse events (ie, affecting multiple individuals) was reported in 2 studies.48 One was a study of safety events across England's NHS, where 23% of events (n=850) affected more than 10 individuals.12 In the second study, 36% of system downtimes (n=116) in China were estimated to affect more than 100 individuals.25 Near-miss events were reported in 29% of studies (n=10). Barber Blosky An existing classification was used to categorize IT problems, information received, and contributing factors.12. PDF Thesis Statements: The Bad and the Better - EBSCO Walker Accident - motor vehicle crashes. In parallel with CPOE implementation, changes to policies and procedures for dispensing and administering medications exacerbated treatment delays. The majority of CPOE-related medication incidents were associated with use errors when entering orders. Where the effects of IT problems were captured, data quality was poor. McDonald H TH Cheung Adams Wensing . As soon as you've decided on your essay topic, you need to work out what you want to say about ita clear thesis will give your essay direction and structure. Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. Doorewaard . (3) Orders were not executed and went undetected due to inadequate separation of preoperative orders from postoperative, resulting in a missed opportunity to diagnose and treat a life-threatening disease, contributing to death. Software problems including poor user interfaces led to difficulties in entering orders and delayed care processes. J . Childhood obesity is a serious health problem. H PDF COVID-19 and the Workplace: Implications, Issues, and Insights for Contrast the list above to the health concerns that rise to the top when large numbers of people are surveyed. Sittig Start with the thesis statement, followed by the objectives of the study. We identified 34 studies describing the effects of IT problems on care delivery and patient outcomes (Table 1). DW We found that clinical errors were well characterized in areas such as medications.1721,29,31,3841 For example, prescribing error types were neatly identified in 1 study that examined system-related errors.41,51 Taking the likelihood and impact of clinical errors into consideration, another study specifically sought to distinguish errors that were unique to IT as well as those that were made more likely with IT and more likely to cause harm with IT.
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